Behind the Mask , livre ebook

Graffeg - Glenn Dene

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101 pages

English

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All royalties in aid of NHS Charities, including Wales Air Ambulance.'It felt like the videos you see of what happens just before a tsunami hits; when the tide goes out, the sea disappears and everything goes eerily quiet. The public were on lockdown and although we'd had a trickle of patients enter the hospital, with elective operating ceased and most people 'scared' to attend, the hospital entered a rare phase of quiet and calm. We wondered if the wave would ever hit us. We didn't want it to as we'd seen the pictures from Italy of how badly their hospitals had been smashed, but equally we were poised, trained and ready to give our best if it hit, when it hit. And it hit.'This is how Dr Ami Jones ITU consultant described the onset of COVID-19 at Nevill Hall General Hospital in Abergavenny in March 2020. Operating Department Practitioner Glenn Dene photographed the whole process from lockdown. His photographs show how the remarkable team came together to serve their community, from professional challenges to personal fears, all is revealed as the team at Nevill Hall donned their masks to battle the killer virus.Produced with the kind permission and support of Nevill Hall Hospital and the NHS.

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Publié par	Graffeg
Date de parution	04 juin 2020
Nombre de lectures	0
EAN13	9781913634889
Langue	English
Poids de l'ouvrage	7 Mo

Informations légales : prix de location à la page 0,0450€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

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In 1945 Aneurin Bevan said: ‘We have been the dreamers, we have been the sufferers, and now, we are the builders.’ And my God, how they built. And what they built. Every bit as much a wonder of the world as any architectural marvel, or any natural miracle … The National Health Service. A truly monumental vision. The result of true representation, of real advocacy, a symbol of equality, of fairness, and of compassion.
Michael Sheen, 4 March 2015.

The NHS family and the fight with COVID-19 by Glenn Dene
Words by Dr Ami Jones, and contributions from Michael Sheen, Jamie Roberts, Aneira Thomas and the staff of Nevill Hall Hospital.

Behind the Mask

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What has been most fascinating during the past few months is how the healthcare service has had to adapt in the face of the current pandemic. Due to the nature of a novel respiratory virus, it’s had to transform not just quickly, but also become more efficient in its operation and healthcare delivery. Many processes that would have taken years have been undertaken in weeks.
We all face pressures of different kinds each and every day. Family pressures, financial and social pressures to name a few. Yet the immediate pressure on our own and collective health, the most important source of wealth to us all, has driven individuals inside and outside the health service to elicit change unlike anything in modern history. Having had to return from playing rugby in South Africa due to the pandemic, I offered my services as a volunteer to the Cardiff & Vale University Health Board. I’ve had the privilege to witness first hand some of the changes that have occurred not just in frontline healthcare on wards and in hospitals but also in community and office settings. Many of these changes have been

Introduction by Jamie Roberts

We are witnessing an enforced streamlining of services that will arguably ensure healthcare provision continues to a higher standard than it was before.

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enforced in order to manage the Coronavirus and it’s fair to say many will not revert back.
We are witnessing an enforced streamlining of services that will arguably ensure healthcare provision continues to a higher standard than it was before. Many of these changes revolve around the centralization of healthcare resources as teams are having to work collaboratively more than ever before. Out of the crisis has come the opportunity to utilize communication technology more than ever before. These changes are likely to transform healthcare provision for good and place the scope for innovation and opportunity within the healthcare climate on to a whole new trajectory. I’ve had the opportunity to document these changes through writing a blog, yet Glenn has brilliantly captured this crisis through the lens of his camera. I’m sure this book of images will tell not only of the tragedy of the Coronavirus crisis, but the transformation and opportunity it brought with it.
Dr Jamie Roberts
Wales international rugby player.

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In March 2020 our district general hospital, nestled amongst the three peaks of Abergavenny, began to prepare for the unwanted arrival of Novel Coronavirus, also known as COVID-19. We were told by Public Health Wales to expect hundreds of patients and that we needed to increase our intensive care capacity, potentially by up to ten times the usual amount. What followed, during what is widely anticipated to have been a first wave of infection, was two months of resolute clinical care for the beloved population we serve. What also took place was an intense bonding of our hospital staff in a way none of us had ever experienced before. Hopefully the words that follow will offer you a small glimpse into the world of our intensive care unit, and the people who continue to serve ‘behind the mask.’
Intensive care is where the sickest patients in the hospital come to receive support for failing organs. Treatment usually involves giving assistance to lungs, kidneys or heart by machines and drugs; all of which is aimed at buying time for patients to get better from whatever is acutely wrong with them. This might be an infection, getting over a big operation or recovering from a serious trauma or cardiac arrest. It is called intensive care as the ratio of nurses and doctors to patients is much higher than on a normal hospital ward.
A very sick patient on a ventilator and kidney machine will be nursed by their own nurse twenty-four hours a day and will be reviewed by doctors numerous times day and night. Unsurprisingly, these patients are the sickest of the sick and, despite our best efforts, in usual times we are often unable to save around 20% of those we treat.
What was about to happen to the world due to COVID-19 was nothing like usual times…

The Unwanted Arrival

We were told by Public Health Wales to expect hundreds of patients and to increase our intensive care capacity, potentially by up to ten times the usual amount.

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We were told that many of these patients would be young, many younger than most of our staff, and that they would be sick in a way that we had never seen the like of before. We were also told that, however hard we tried, of those who ended up needing us, we would only be able to save around half of them.
We only had a small eight-bed intensive therapy unit (ITU) which would certainly not be enough for the tidal wave of sick young patients we were warned was heading our way. We also only had enough staff and equipment to look after eight sick patients at one time.
Due to the predictions of many more critically ill patients than we would usually have beds for, staff were moved and retrained so they could help look after the sickest. New drills were practised over and over; namely donning (putting on) and doffing (taking off) personal and protective equipment (PPE), a task which would soon become sadly familiar to all of us and a way of life for several months to come. But our lives quite literally depended on us getting it right, else we might risk contracting the infection ourselves.
The hospital moved swiftly. Wards were re-organised and spaces identified that could be turned into new ITUs. The hospital was divided into areas where COVID patients could be treated and areas where other patients would continue to receive medical care. Despite elective operations and routine clinic appointments being cancelled and COVID seeming to be all-encompassing, people were still going to need emergency surgery and women still had babies to deliver.

The hospital moved swiftly. Wards were re-organised and spaces identified that could be turned into new ITUs.

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